Tursdale, Lawrence/Richard Giles 76723C

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A /GE & FILL N9 76723 A BERAL PERMIT Previous permit#
❑Complete Reissue ❑Partial Reissue Date previous permit///is���sued
As auth the State of North Carolina, Department of Environmental Quality �' t, O � 1 ) .
and the Coastal Resources Commission in an area of enviro mental concer pursuant to 15A NCAC 'j'� , /
r ❑ les attached.
Applicant NNaamee, \ \%% I ct Location: County
Address 1C 1 n - Pi.1'41 _ Street Address/ State Road/ Lot #(s),
city��_�(\
v
`State ZIP /�(f\ )
Phone #
-
all
Authorized Agent
Affected ❑ CW
EW PTA
ES ❑ PTS
Affecte ❑OEA
❑HHF lH
❑ BA ❑N/A
❑ PWS:
ORW: yes / n `
PNA yes /
1 n
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s) I
Floating Platform(s)
Finger pier(s)
Groin length
mbe .
ulkhea ipra ength
qf
avg distance offshore f
max distance offshor
Basin, channel
cubic yards
Boat ramp'--_
Boathouse/ Boatlift
Beach Bulldozine�
Shoreline Length
SAV: not sure yes o
Moratorium: n/a yes no
Photos: yes no_
Waiver Attached: be1) no
A building permit may be required by:
( Note Local Planning jurisdiction)
IOQtes/ Special Conditions\ �1 IL
or
Cove &
�Ll�.%�Eiil(IG
`v
Basin
ql�l, ,t1 ii evl�
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�► �� ■ See note on back regarding River Bask
read compliance statement on back
Check# — Issuing